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Predictors of Psychological Well-Being and Quality of Life in Patients with Hypertension: A Longitudinal Study.
- Source :
- Healthcare (2227-9032); Mar2024, Vol. 12 Issue 6, p621, 13p
- Publication Year :
- 2024
-
Abstract
- Previous research has highlighted the positive impact of greater health-related quality of life (Hr-QoL) and subjective well-being (SWB) on chronic diseases' severity and progression. There is a paucity of studies investigating the long-term trajectories of these variables among hypertensive patients. The present study aims to investigate the relationships between psychological variables (Type A and D personality, locus of control—LoC, self-esteem, and trait anxiety) with SWB and Hr-QoL in patients with hypertension and comorbid metabolic syndrome. A total of 185 volunteer patients (130 males, 70.3%; mean age 54 ± 10.93) were enrolled. Patients filled out measures of Hr-QoL and SWB, LoC, and self-esteem at three time points—Type A and D behaviors and anxiety measures only at baseline. Analyses were run through two-level hierarchical mixed models with repeated measures (Level 1) nested within participants (Level 2), controlling for sociodemographic and clinical confounders. Neither Hr-QoL nor SWB changed over time. Patients with greater self-esteem and internal LoC (and lower external LoC) increased their SWB and Hr-QoL up to 1-year follow-up. A greater Type A behavior and trait anxiety at baseline predicted a longitudinal increase in most of the dependent variables. Results suggest that it could be useful to tailor interventions targeting specific variables to increase Hr-QoL and SWB among hypertensive patients. [ABSTRACT FROM AUTHOR]
- Subjects :
- LOCUS of control
RISK assessment
SCALE analysis (Psychology)
REPEATED measures design
PERSONALITY development
BODY mass index
MENTAL health
HEALTH status indicators
CRONBACH'S alpha
RESEARCH funding
HYPERTENSION
QUESTIONNAIRES
ANXIETY
EMOTIONS
DESCRIPTIVE statistics
LONGITUDINAL method
METABOLIC syndrome
PERSONALITY
QUALITY of life
RESEARCH
PSYCHOMETRICS
SOCIODEMOGRAPHIC factors
COMPARATIVE studies
COMORBIDITY
SELF-perception
WELL-being
BLOOD pressure measurement
EVALUATION
Subjects
Details
- Language :
- English
- ISSN :
- 22279032
- Volume :
- 12
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Healthcare (2227-9032)
- Publication Type :
- Academic Journal
- Accession number :
- 176335508
- Full Text :
- https://doi.org/10.3390/healthcare12060621